PHYLLIS LYNNE PENDERGRAST

FORT COLLINS, CO
NPI1942941000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  OTA.0001071)
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
PHYLLIS LYNNE PENDERGRAST COTA
2201 S LEMAY AVE
FORT COLLINS, CO 80525-1900
Phone number: 888-966-9435
Mailing Address
PHYLLIS LYNNE PENDERGRAST COTA
3322 PICASSO DR
LOVELAND, CO 80538-5831
Phone number: 805-458-3139
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